Provider Demographics
NPI:1194707240
Name:KAEMPFE, TAMMY R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:R
Last Name:KAEMPFE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:R
Other - Last Name:INMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 S 5TH ST
Mailing Address - Street 2:P O BOX 1094
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-7310
Mailing Address - Country:US
Mailing Address - Phone:573-778-0382
Mailing Address - Fax:
Practice Address - Street 1:2725 N WESTWOOD BLVD STE 5
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2367
Practice Address - Country:US
Practice Address - Phone:573-872-4671
Practice Address - Fax:573-872-4675
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010005201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical